Provider Demographics
NPI:1750794277
Name:LIVING WELL MENTAL COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:LIVING WELL MENTAL COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:718-419-4133
Mailing Address - Street 1:1356 EBONY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018
Mailing Address - Country:US
Mailing Address - Phone:718-419-4133
Mailing Address - Fax:
Practice Address - Street 1:24510 GRAND CENTRAL PKWY
Practice Address - Street 2:APT 4H
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2744
Practice Address - Country:US
Practice Address - Phone:631-828-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty